Bay Area Community Resources Jail Treatment Program in Marin County, California

Transcription

1 Bay Area Community Resources Jail Treatment Program in Marin County, California A program to reduce alcohol/drug abuse & recidivism SUPPORTED BY THE MARIN COUNTY SHERIFF S DEPARTMENT & MARIN COUNTY PROBATION DEPARTMENT

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3 Bay Area Community Resources Jail Treatment Program in Marin County, California A program to reduce alcohol/drug abuse & recidivism Bay Area Community Resources 171 Carlos Drive San Rafael, CA phone (415) fax (415) Prepared by José Luis Gomez, Program Coordinator John Haller, Ph.D. December, 2008

4 2008 Bay Area Community Resources Material in this manual may not be reproduced without written permission from Bay Area Community Resources Bay Area Community Resources Marty Weinstein, Executive Director Mary Jo Williams, Co-Executive Director Laura Kantorowski, Ph.D., Director of AOD Programs

5 Contents PREFACE PROGRAM OVERVIEW...7 A. Program Model... 7 B. Evidence-Based Practices C. Our Values D. Goals PROGRAM OPERATIONS...17 A. History and Philosophy B. Program Participants C. Program Schedule D. Program Rules and Policies E. Staff F. How the Marin Criminal Justice System Works G. How To Work Inside The Marin Criminal Justice System TREAT ALCOHOL/DRUG ABUSE & CRIMINALITY I: EDUCATION PROGRAM...41 Week 1: Tobacco Addiction Week 2: Addiction: Use and Abuse Week 3: Denial And Impaired Thinking Week 4: Mind Altering Drugs Week 5: Relapse Prevention Week 6: Violence, Anger & Crime Week 7: Family and Relationships Week 8: Challenge To Change Week 9: Commitment To Change Week 10: Taking Ownership of Change, Part Week 11: Taking Ownership of Change, Part Week 12: Taking Ownership of Change, Part Week 13: Consequences Of Addiction & Criminal Behavior Week 14: Resources for Change Week 15: Motivational Speakers... 98

6 4. TREAT ALCOHOL/DRUG ABUSE & CRIMINALITY II...99 A. Process Group...99 B. 12-Step Book Study Group BUILD A RECOVERY COMMUNITY A. Inmate Volunteer Program B. Inmate Board Meeting SUPPORT THE CRIMINAL JUSTICE SYSTEM A. Alcohol/Drug Assessments B. Case Management APPENDIX A. Other Programs in the Jail B. Community Programs C. Useful Web Sites D. Alcohol/Drug Assessment Forms E. Outcome Evaluation Study

7 Bay Area Community Resources Preface 5 Preface The is an alcohol and drug program operated by Bay Area Community Resources (BACR). Founded in 1976, BACR promotes the healthy development of individuals, families and communities in the San Francisco Bay Area through direct services, volunteerism, and community partnerships. BACR programs address a diversity of issues: alcohol and drug use, mental health, tobacco use, youth development, after school programs, national service, community health, fiscal sponsorship. Purposes of Manual This manual has three purposes. 1. To train new BACR jail treatment program staff, so that we can quickly and effectively get them up to speed about the program. 2. Serve as a reference book for program staff. 3. Inform staff at the Sheriff s Department and the Probation Department about our program, in order to provide them useful information when they need it and hopefully to build their support for our program. Acknowledgements Our first acknowledgement is, of course, to the Marin County Sheriff and the Department for hosting our program in the jail. Their belief in our program s value for their mission and their belief in us as staff make the program possible. Just as important is the Marin Probation Department, who contracts with us to assess alcohol/drug issues among people in the Marin criminal justice system. Special thanks go to Captain David Augustus and Peggy Harrell, Program Director at the Jail, and to Teresa Torrence-Tillman, Director of Adult Services in the Probation Department, for giving generously of their time and knowledge so that this manual would be useful and accurate. We sincerely appreciate everyone s support, and we work diligently to sustain their faith in our program. Jose Luis Gomez, Program Coordinator James Sellers, Counselor Michelle Johnson, Counselor Milton Paul, Counselor Alvenia Foster, Counselor Michael Coleman, Counselor December, 2008

8 Acronyms used in this manual AA AOD BACR F.A.T.H.E.R.S. GED H&I Alcoholics Anonymous Alcohol and other drugs Bay Area Community Resources, the non-profit community organization that operates the jail treatment program Fathers as Teachers: Helping, Encouraging, Reading, Supporting General Educational Development exam; the equivalent of a high school diploma Hospitals and Institutions; refers to AA or NA volunteers who visit people in hospitals and institutions M.O.T.H.E.R.S. Mothers as Teachers: Helping, Encouraging, Reading, Supporting NA STAR Narcotics Anonymous Support and Treatment After Release

9 Bay Area Community Resources 1. Program Overview 7 1. PROGRAM OVERVIEW The mission of the is to reduce alcohol/drug abuse and recidivism among inmates. To accomplish this mission, we provide day treatment services for men in A Pod and women in F Pod. The program services are designed to treat the criminal addict i.e., alcohol/drug addicts who also have a criminal lifestyle. Most inmates have both types of issues, and it is essential to treat both types of behavior. In fact, inmates who have a criminal lifestyle but who do not abuse alcohol/drugs are rare. A. Program Model The program model includes three types of services, and participants are required to be involved in all the services: 1. Services to treat alcohol/drug and criminality issues, in order to foster individual change. 2. Services to build a recovery community in the jail, in order to help inmates understand and become part of a community in a productive way, especially a community which has the culture of supporting recovery. 3. Services to support the criminal justice system, in order to help move people through the system by providing specialized professional skills. Central to our program model is the idea of getting inmates into recovery while they are in jail. Our approach to recovery in jail includes three core strategies: We treat addiction as a disease. Every disease has a treatment and healing process in which people can recover from the disease. This process may involve some relapse. Recovery is defined as: stopping alcohol/drug use; making life more functional in terms of relationships, work, and being a productive member of society; and working to heal the issues which led to the alcohol/drug use. We address the behaviors that put people in jail, and we help them change the values and morals that led to the criminal lifestyle, especially values about how to be a productive member of society. This 3-part concept of recovery in jail shows why it is essential that our program model includes services to build a recovery community i.e., in order to go beyond individual change and create an environment in which inmates learn how to become part of and contribute positively to a community.

10 8 1. Program Overview Bay Area Community Resources Jail Treatment Program Model TREAT ALCOHOL/DRUG & CRIMINALITY ISSUES Foster individual change Education Program Educate inmates about alcohol/drug abuse and criminality and how they can change their values and behavior. Lecture, videos, group discussion, homework. Process Group Create peer pressure for positive change and inspire people by inmates recovery efforts. Discuss personal issues about recovery in a positive group setting. 12-Step Book Study Group Inspire and educate people by powerful recovery stories. Read aloud and reflect on the AA and NA 12-Step books. BUILD A RECOVERY COMMUNITY Foster the values of responsibility and accountability to a community Inmate Volunteer Program Give inmates opportunities to hold positions of responsibility and accountability in which they contribute to a community Inmates serve in 14 volunteer positions that extend programming beyond what staff can do, and get publicly recognized for their accomplishments and positive qualities. Inmate Board Meeting Give all program participants a responsibility they alone are accountable for. Inmates plan and conduct a daily 15-minute meeting with a specific set of activities. SUPPORT THE CRIMINAL JUSTICE SYSTEM Help move people through the system via tasks requiring specialized professional skills Clinical Assessment Support Probation Department and/or the court in decisions about inmate sentencing. Assess alcohol/drug issues and recommend treatment placement before sentencing, when an inmate applies for parole, or when probation supervision begins. Case Management Get inmates and others into the most appropriate community-based alcohol/drug treatment program after incarceration. Locate appropriate programs, get people enrolled, and transport them to the program. Provided for inmates in jail, for people waiting to be sentenced who may or may not be out on bail, and for people who are on parole or about to go on parole.

11 Bay Area Community Resources 1. Program Overview 9 1. Services to treat alcohol/drug and criminality issues These services are intended to foster individual change, and they treat both alcohol/drug issues and criminality issues, which are different. These services are essentially pre-treatment, with the best results occurring when people complete a full treatment program after their jail time. We provide three pre-treatment services: an education program, an inmate support group or process group focused on recovery, and a 12-step book study group. Education Program. The education program is designed to teach inmates about alcohol/drug behavior and criminal behavior, and how that behavior will keep leading them to jail unless they go into recovery. The program entails a lecture and seminar four days a week for 15 weeks. The curriculum addresses every major issue involving alcohol and drugs, violence, criminality, and recovery. In every session inmates are given written homework assignments on the topics for that day which lead them to look at their own lives and help motivate them to change. Process Group. This is a guided support group to give inmates a safe place to discuss their personal views about alcohol/drug use, criminality, and recovery. Inmates who are making strong efforts to change can benefit greatly from talking to each other about it, and they can educate and support others. Those who are beginning the change process can be educated and inspired by other inmates. All the inmates can serve to provide peer pressure for positive change. 12-step Book Study Group. This group studies the AA big book and the NA basic text and follows a similar process as AA or NA book study groups outside of jail. The AA and NA programs are widely recognized as extremely effective in helping addicts become and stay clean and sober, in part because the AA big book and the NA basic text provide powerful stories and insights about recovery. The program includes additional methods that encourage and consolidate recovery and personal change. One key method is to use certificates and graduations to mark major changes and to publicly reward accomplishments. Participants receive a Completion Certificate at the end of 60 days of participation and a Graduation Certificate at the end of 90-days of participation. 2. Services to build a recovery community in the jail Services to build a recovery community are designed to foster values of responsibility, accountability, and integrity and to give inmates the experience of being a productive member of a community. Program participants take on jobs that support recovery and can make them feel like they are a valued member of a community. The goal is to prepare inmates to be productive members of society and to re-integrate into society with new and positive values and skills. We

12 10 1. Program Overview Bay Area Community Resources provide two community building services: an extensive inmate volunteer program and an inmate run daily meeting. Inmate volunteer program. Our program includes 14 types of volunteers who are responsible for assisting with specific activities, ranging from being group facilitators to being members of a welcoming committee. Before inmates can be selected as volunteers, they must prove that they are committed to changing themselves. Inmate Board Meeting. This 15-minute daily meeting is conducted by the inmates under the supervision of the program staff. It requires that every inmate take on leadership and responsibility for some activity in the meeting. 3. Services to support the criminal justice system Services to support the criminal justice system help the Probation Department and Sheriff s Department move people through the system. Since BACR operates the program with registered or certified counselors, we have the skills and expertise to assist the Probation Department and the Sheriff s Department with two services: clinical assessments and case management. Clinical Assessment. Program staff conduct a detailed alcohol/drug assessment and make treatment placement recommendations upon request through a contract with the Probation Department. The assessments are used by the Probation Department and/or courts to make decisions before sentencing, when an inmate applies for parole, or when probation supervision begins. Case Management. Each inmate is assigned a Jail Treatment Program staff member as a case manager to give the inmate personal and individualized support. One part of that case management is to help inmates make careful plans for discharge and reentry, especially getting them enrolled in an appropriate alcohol/drug treatment program in the community, so that they receive the treatment needed to maintain recovery and help prevent recidivism. Case management can also be provided for people waiting to be sentenced who may or may not be out on bail, and for people who are on parole or about to go on parole.

13 Bay Area Community Resources 1. Program Overview 11 B. Evidence-Based Practices Two lines of evidence support the effectiveness of our program: 1. a rigorous program evaluation conducted by an established research organization, and 2. the fact that our program is consistent with practices which national research shows are effective 1. Study of the BACR Jail Treatment Program In 2005, Resource Development Associates conducted a rigorous evaluation study of the BACR jail treatment program (see Appendix E for the entire study). The study included 110 former program participants. Data sources included Marin County arrest and booking data, Probation Department case notes, BACR program data, key informant interviews, and focus groups with current inmates. All the data compare the year after release from the Marin County jail with the year before incarceration in the jail. The key findings were as follows. Drug Use Declined 30% indicated drug use in the year after release, as per Probation Department case notes. The longer that people had been in the BACR Jail Treatment Program, the less likely they were to use drugs. less than one month 60% 1-2 months 36% 2-3 months 22% more than 3 months 15% Recidivism Declined All the data pertain to the year after release from the Marin County jail, compared with the year before incarceration in the jail.

14 12 1. Program Overview Bay Area Community Resources New arrests decreased by a statistically significant amount. Arrest for any crime Felony arrest 81% declined to 44% Misdemeanor arrest 88% declined to 42% Drug-related crime 62% declined to 33% Parole violation 36% declined to 21% Violent crime 33% declined to 10% Theft 31% declined to 17% Driving under the influence 27% declined to 15% Driving without a license 25% declined to 12% Weapons crime 10% declined to 6% 100% of program participants in the prior year, declined to 56% of participants in the year after release The longer that people had been in the BACR Jail Treatment Program, the less likely they were to be arrested for new crimes in the year after release. less than one month in program 71% arrested 1-2 months 47% arrested 2-3 months 64% arrested more than 3 months 40% arrested The average number of arrests per person decreased, by a statistically significant amount. Arrest for any crime 2.7 in prior year declined to 1.2 in the year after release Felony arrest 1.3 declined to.6 Misdemeanor arrest 2.1 declined to.9 The number of days in jail for new crimes decreased an average of 65 days, from 127 in the prior year to 62 (a statistically significant decrease). The longer that people had been in the BACR Jail Treatment Program, the greater was their decrease in jail time for new arrests. less than one month in program 12 day decrease (from 102 days prior year to 90 days) 1-2 months 60 day decrease (108 to 48) 2-3 months 110 day decrease (177 to 67) more than 3 months 100 day decrease (140 to 40) Decreased incarceration yielded an average one-year cost savings of $7,440 per former participant in the BACR Jail Treatment Program. The longer people had been in the BACR Jail Treatment Program, the greater the cost savings. less than one month in program $1,375 cost savings 1-2 months $6,867 cost savings 2-3 months $12,590 cost savings more than 3 months $11,446 cost savings

15 Bay Area Community Resources 1. Program Overview 13 For the 52 former program participants included in the cost savings analysis, the total savings for incarceration for the one study year period was $488,275 (average decrease of 65 days in jail time, times incarceration cost of $ per day, times 52 former participants). These cost savings do not include costs benefits to the community such as increased productivity through employment, increased taxes paid, or decreased health care costs. Former volunteers in the BACR jail treatment program had even better outcomes than regular program participants. a greater decrease in jail days 181 fewer jail days versus 44 less likely to have evidence of drug use 7% versus 37% higher enrollment in drug treatment programs 88% versus 68% more likely to be employed full time 36% versus 9% Stakeholders expressed satisfaction with the program Marin County Jail staff cited: A more manageable inmate population which uses its time productively. Probation staff cited: More informed recommendations to the Parole Board. An in-custody treatment resource for the Parole Board. Support for Probation Officers in their assessment of inmate needs upon release. Residential treatment providers cited: High BACR expertise in placing inmates into a post-release treatment program. A wonderful job of preparing inmates for residential treatment. Inmates cited: The program forced them to get past their denial and acknowledge their addiction. 2. National research on recidivism and drug use Recidivism is a major national and local concern % of released prisoners are rearrested within three years (Bureau of Justice Statistics, 2003; JTO 2005). Re-arrests account for 35 percent of all prison admissions (IDU HIV Prevention, 2001). In Marin County, 67% of male inmates and 52% of female inmates had previously served time in the jail (Marin County Sheriff s Crime Analysis Unit, 2005).

16 14 1. Program Overview Bay Area Community Resources Drug use is highly related to recidivism. The more prior convictions an individual has, the more likely that individual is a drug abuser. Belenko (1998) reported that in state prisons: 81% of inmates with 5 or more convictions used drugs regularly. 63% of inmates with 2 prior convictions used drugs regularly. 41% of first offenders used drugs regularly. In-custody drug treatment has been shown to be successful: Education, training and drug treatment programs within prisons have reduced recidivism by as much as 40% (Brown, 2000). Drug therapy while in prison and under post-incarceration supervision has yielded a 50% reduction in recidivism (Office of National Drug Control Policy, 2001). Women who receive drug treatment in prison have fewer subsequent arrests, less drug use, and greater employment (Hall, et al, 2004). Treatment programs show the best results when adhering to a continuum of care model from institution to community (Hiller, Knight, & Simpson, 1999). Alcohol and drug treatment can save $7 in incarceration costs for every $1 spent, with gains attributable to reduced crime, enhanced workplace productivity, and lower health care costs (Little Hoover Commission, reported in Marks, 2003). Three studies presented in the Autumn Workshop Series Conference, November 2006, showed that jail treatment programs reduce recidivism and alcohol/drug relapse rates. (1) Re-Entry Models from Prison to the Community: an Illinois Model, by Dan Lustig and Kenis Williams. (2) Corrections Voice in America s Drug Problem, by General Barry McCaffrey. (3) From the Institution to the Community, by Gary Field, Ph.D. C. Our Values Ever since the began in 1998, our methods and services have evolved as a result of our experience with the Sheriff s Department and Probation Department and the needs of inmates. However, our essential values have remained the same, because they represent our beliefs and what we bring to the program. Values about Working in the Jail 1. We believe that we must design and operate our program so that it helps the jail accomplish its mission.

17 Bay Area Community Resources 1. Program Overview We believe that we need to stay tuned in to the jail staff s work and help them on a day in, day out basis whenever and however we can. 3. We believe and recognize that the Sheriff s Department staff are the primary experts in maintaining safety in the jail, and therefore we must follow every policy and every instruction they give us. Values about ourselves 1. We believe we can help people change their behavior. 2. We see inmates as our clients. 3. We want inmates and custody staff to see us as advocates for change, but not as somebody to get people out of jail. 4. We believe we can be effective in working with inmates because our staff are in recovery and/or have worked extensively with people in recovery. 5. We believe we can teach inmates tools that will make their lives better. 6. We believe we can help families and the communities at large. 7. We believe we offer hope. 8. We believe that our program offers pre-treatment and that we are preparing people to go on to successful treatment after jail. 9. We believe we should model those values and relationships we want people to have. 10. We believe we should always be professional and reliable. 11. We believe our staff are most effective when we work as a team. 12. We believe we should use evidence-based practices wherever possible, because they have been proven to be effective. Values about Inmates/Clients 1. We believe people can change. 2. We believe people should be accountable and responsible. 3. We believe in recovery and that recovery gives people their life back. 4. We believe people s recovery is inside them and that they can find it. 5. We believe people can be in recovery in jail or prison. 6. We believe some inmates have alcohol/drug issues, some have criminality issues, and most have both. 7. We believe that inmates who work our program consistently want to change. 8. We believe inmates can have skills and good qualities that can and need to be channeled in a positive direction. D. Goals The has specific goals, with activities and structures designed to reach every goal.

18 16 1. Program Overview Bay Area Community Resources Goals of the Program 1. Eliminate alcohol/drug abuse. 2. Eliminate recidivism. 3. Help the custody staff see our program as valuable to them in their job. 4. Honestly assess clients and tell them the truth, even if it is not comfortable. 5. Address alcohol/drug issues, criminality issues, social issues, and responsibility. 6. Re-educate people about a lot of things. 7. Challenge people s values and life, because those values and behaviors got them into trouble. 8. Help people find that internal strength which can move them to a new place. 9. Teach coping mechanisms and tools for self-care. 10. Engage people to be active in self-change. 11. Expose inmates to people who have been where they are and who have changed. 12. Develop a sense of community, because that involves values which most inmates lack. 13. Prepare clients to succeed in treatment when they leave jail. 14. Work with other agencies so our clients can get into continued treatment and recovery. Goals for Personal Change among Inmates 1. Get people to accept their alcohol/drug problems and/or their criminality problems. 2. Get people to eliminate their criminality and recidivism. 3. Get people to understand and eliminate their alcohol/drug abuse. 4. Get people to start taking control and responsibility. 5. Reinforce positive behavior. 6. Get people to see they have choices, and if they change they have even more choices. 7. Get people not to see themselves as bad, but to find their strengths they can use in recovery. 8. Build self esteem. 9. Empower people. 10. Get inmates to take responsibility for program activities, especially by becoming volunteers. 11. Get people to identify their current values, thought patterns, and self-image and understand how those things are stopping them from getting the deeper things they want. 12. Get people to elevate their integrity and help them adopt values that will make them able to live in society. 13. Get people to stop thinking of themselves as victims and not be self-defeating. 14. Reconnect and integrate people into the community and shows it s a good thing. 15. Get inmates to understand that the parole officer is not an enemy but someone who can help them navigate the criminal justice system.

19 Bay Area Community Resources 2. Program Operations PROGRAM OPERATIONS A. History and Philosophy The Bay Area Community Resources (BACR) originated with our work for the Marin County Probation Department. The Department began contracting with BACR to provide clinical assessments of inmates concerning alcohol/drug issues. This work began at the Honor Farm in 1988 through 1994, along with some counseling and some transportation of inmates to treatment programs. The program moved to the Marin County jail in 1994, and in 1998 the Sheriff s Department began funding BACR to provide an intensive program for inmates. The Probation Department continues to contract with BACR to provide clinical assessments. Alcohol/drug addiction and the corresponding dysfunctions were historically treated as moral failings rather than a health and social problem. This led to an emphasis on punishment rather than prevention. Today, the views and responses to alcohol/drug abuse have changed dramatically, and treatment has been considered the most effective response in all spheres of society, including the criminal justice system. Hundreds of county jails and state penitentiaries offer alcohol/drug treatment to the criminal addict. Sheriff departments, courts and probation departments throughout the country are considering more and more the alternative of treatment while the criminal addict is incarcerated and post-release conditions for entry into treatment are more emphasized. Research tells us that most criminal offenders have alcohol or drug problems i.e., they are criminal addicts. Among this population the rate of alcohol/drug relapse and criminal justice recidivism after incarceration is very high. Our program focuses on preparing the criminal addict for post-incarceration treatment, with the goal of improving their chances of completing a recommended treatment program. This goal is grounded in research which shows that inmates who become clean and sober will be less likely to re-offend. One of our program strengths is understanding how people change and their motivation for change, rather than blaming the addict for not being ready to change. Contemplation of action, followed by preparation for and initiation to action are seen as natural, sequential steps toward stable change. The program encourages the counselor to understand the client s present stage of change and to provide counseling that is appropriate for his or her current level of readiness. Inspiring motivation for change becomes part of the counselor s job, rather than waiting for the client to see the light.

20 18 2. Program Operations Bay Area Community Resources The cornerstone of the program is education about recovery and criminality, brought on by the counselor s guidance, by peer pressure, and by activities that foster and reward individual responsibility. The ultimate goal is not only for inmates to abstain from using alcohol/drugs but also to elevate the individual s level of morals, values and integrity, therefore aiming at making the criminal addict more apt to successfully live in and contribute to society. BACR Best Practices The Jail Treatment Program, like all BACR programs, operates in accordance with our best practices. These represent our philosophy about how best to deliver our programs and our recognition of what has made our programs very effective and high quality. We persevere, are dependable and act with integrity. We continually learn stretching, growing and innovating. We act with humility, hopefulness and a sense of humor. We build healthy relationships and are guided by a caring heart. We recognize the needs and strengths of the people we serve and support their development. We work within communities and build alliances to meet community needs. Our services are based on proven models and methods. Our programs are goal-oriented and get results. B. Program Participants Inmates must apply to the program in order to participate. All the male inmates in A pod must participate in the program, and the men in B and C pods and special housing must get screened in order to be assigned to A pod. Of course, the Department can assign any inmates to A pod, such as when B and C are full or for other reasons, but those inmates are mandated to participate. In both A pod and F Pod, inmates must sign up for the program and be accepted. There can be a waiting list for the program in both C and F Pods. A person can get removed from the program or pod for inappropriate behavior and later reapply to return if he/she wants. The average daily census is approximately 60 male participants in A Pod and 20 female participants in F Pod. Dual Diagnosis Clients A key issue during assessments and sentencing is whether the person has a dual diagnosis of both mental health problems and alcohol/drug addiction. Research indicates that a good portion of individuals affected by the disease of alcohol/drug addiction also suffer from mental health problems. The Jail Treatment Program includes people

21 Bay Area Community Resources 2. Program Operations 19 with a dual diagnosis. In order provide effective services for this population, we have designed the following guidelines and criteria for acceptance into the program. 1. During the acceptance interview we ask the candidate if he/she has been diagnosed with any mental or emotional conditions by a physician or therapist and if he/she is taking medication. If the answer is yes, we inform the inmate that we will consult with the mental health department at the jail to see what kind of treatment he/she is following and what medications the potential client is taking. The medical/mental health department staff in the jail must clear the person to enter our program. 2. If accepted into the treatment program, the client will be assigned to a BACR Counselor. The Counselor will write in the client s file the condition and the medications the client is taking, as well as any other information about mental and emotional health status. 3. The client must be able to attend groups and function in program activities. 4. The Process Group is sometimes confrontational. The client should be able to accept confrontation from the counselors and sometimes from the inmates. These confrontations only take place when the counselor is present and under his/her guidance. 5. Placements for these clients will be always be coordinated with the Probation Officer supervising the STAR Program or the mental health case load. 6. The clients are informed that A and F Pods are not established for dual diagnosis individuals and that they must adapt to what the program has to offer. Participant Profile In order to gain a better understanding of program participants, Data Trends in Santa Rosa, California surveyed inmates in The survey included 59 inmates 48 men in A Pod and 11 women in F Pod. Note that for every item, people could give more than one answer. Substance Abuse Addiction % Addicted to This Substance Average Years of addiction Nicotine 58% 15 Alcohol 56% 11 Marijuana 42% 13 Methamphetamine 34% 7 Cocaine 32% 9 Heroin 14% 11 Other 10% 8

22 20 2. Program Operations Bay Area Community Resources Criminal Convictions Percent of Participants Driving under the influence 29% Driving without a license 25% Probation violation 24% Possession of drugs or paraphernalia 20% Assault 15% Fraud 14% Burglary 14% Petty theft 12% Possession for sale 8% Forgery 7% Domestic violence 7% Weapon possession 5% Embezzlement 5% Identity theft 3% Auto theft 3% Rape 2% Child endangerment 2% Post-Incarceration Support Needed Percent of Participants Will need ongoing support for recovery and sobriety 85% Will need ongoing emotional support 61% A sober environment will be a problem 19% Stable housing will be a problem 22% Finances will be problem 22% Childcare will be a problem 8% Emotional Status Percent of Participants Have violent thoughts 67% Have suicidal thoughts 27% Often anxious or nervous 24% Often depressed/or withdrawn 22% Often angry 19%

23 Bay Area Community Resources 2. Program Operations 21 Family History Percent of Participants Substance abuse 66% Emotional abuse 46% Emotional/mental problems 44% Physical abuse 40% Sexual abuse 12% Education Percent of Participants Graduated from high school or got a GED 71% Received job or technical training 41% Have an attention or learning problem 36% C. Program Schedule The current program schedule is shown below. However, this schedule can vary from time to time and is modified as the program evolves or as the overall jail schedule changes. A-Pod Schedule The Process Group, and the 12-step Book Study group and the inmate board meeting occur in three cohorts called the A, B or C group in order to make the group sizes small enough for discussion and for everyone to get a turn. Each cohort is about 15 to 20 people. BACR Program Morning Schedule, Monday to Friday Group A Group B Group C 8:15-9:15 Process Group 12-Step Book Study Free Time 9:15-10:15 Free Time Process Group 12-Step Book Study 10:15-11:15 12-Step Book Study Free Time Process Group

24 22 2. Program Operations Bay Area Community Resources BACR Program Afternoon and Evening Schedule Time Activity Monday 2:15 2:30 Inmate board meeting 2:30-4:00 Education program Tuesday 2:15 2:30 Inmate board meeting 2:30-4:00 Education program 1:00 2:00 p.m. Volunteer/mentor meeting 8:00-10:00 Spirituality meeting Wednesday 12:45-2:00 Over age 40 group 2:15 2:30 Inmate board meeting 2:30-4:00 Education program Thursday 2:15-2:30 Inmate board meeting 2:30-4:00 Education program 8:00-10:00 p.m. Age 25 and under group Friday 2:15-2:30 Inmate board meeting 8:00-10:00 p.m. Age group (men s focus group) Saturday 1:00-2:00 p.m. In-house AA Meeting 3:00-4:00 p.m. In-house Spanish AA Meeting Sunday 10:00-11:00 In-house Spanish NA Meeting 1:00-2:00 In-house NA Meeting 8:00-8:15 p.m. Newcomers welcoming meeting 8:15-9:00 p.m. In-house Bible studies Related Program Activities by other Organizations Day Time Topic Monday 12:45-2:00 Parenting Classes, by Center Force 2:15-2:30 Marin Job Council, 4 th Monday of each month 8:00-10:00 p.m. AA meeting facilitated by H&I volunteers from AA Tuesday 12:45-2:00 General Education (GED), by Marin County Office of Education Wednesday 12:45-2:00 F.A.T.H.E.R.S Group, by Marin Literacy 8:00-10:00 p.m. NA meeting facilitated by H&I volunteers from NA Thursday 12:45-2:00 F.A.T.H.E.R.S Group, by Marin Literacy 8:00-10:00 p.m. Religious service, New Life Christian Center and other organizations Friday 12:45-2:00 Creative writing, by Marin County Office of Education Saturday 2:30-4:00 Domestic violence and anger management class 9:45-11:00 a.m. Spanish class

25 Bay Area Community Resources 2. Program Operations 23 Non-Program Activities Meals Breakfast 6:15-6:45 a.m. Lunch 12:00-12:30 p.m. Dinner 5:00-5:30 p.m. Library Movie Razor Laundry Inspection Visits Mail Commissary Saturday, 9:00-11:00 a.m. Saturday, with soda and popcorn, 8:00-10:00 p.m. Sign up every night, 8:00-10:00 p.m. Tuesdays and Fridays after dinner Wednesday, 7:30 a.m. Monday Friday, 6:00-10:00 p.m. Weekends 9:00-11:00 a.m.; 1:00-4:00 p.m.; 6:00-10:00 p.m. 8:00-10:00 p.m. Turn in the slip by Monday 10:00 p.m.; slips given out Thursday after dinner Other Activities Child support information is provided once a month from 1:00-2:00 p.m. No specific day or time is assigned. GED testing and sign-ups are held once a month. No specific day or time is assigned. County Parole hearings are on Wednesdays mornings. F-Pod Schedule BACR Program Day Time Topic Monday - Thursday 9:00-9:30 12-Step Book Study 9:45-10:45 Process group 2:15-2:30 Inmate board meeting 2:45-4:00 Education program Friday 9:00-9:30 12-Step Book Study 9:45-10:45 Process group Related program activities are conducted by other organizations for all inmates in F Pod. BACR program participants are strongly encouraged to attend as many activities as possible.

26 24 2. Program Operations Bay Area Community Resources Related Program Activities by other Organizations Day Time Topic 8:00-9:00 p.m. AA meeting facilitated by H&I volunteers from AA Tuesday 9:00-10:00 General Education (GED), by Marin County Office of Education 1:00-2:00 Parenting classes, by Center Force M.O.T.H.E.R.S. Group, by Marin Literacy 8:00-9:00 p.m. Religious service, New Life Christian Center and other organizations Wednesday 9:00-10:00 a.m. General Education (GED), by Marin County Office of Education 1:00-2:00 M.O.T.H.E.R.S. Group, by Marin Literacy 8:00-9:00 p.m. NA meeting facilitated by H&I volunteers from NA Thursday 9:00-10:00 General Education (GED), by Marin County Office of Education 1:00-2:00 Literacy program, by Marin County Office of Education Spirituality group, by independent contractor 3:00-4:00 Education about HIV & Hepatitis C (2 nd Thursday of the month), Marin AIDS Project Friday 1:30-2:30 Choir 3:00-4:00 Job information, by Marin Jobs and Career Services Sunday 1:00-2:15 p.m. Religious services, by various organizations Non-Program Activities Meals Breakfast 6:15-6:45 a.m. Lunch 12:00-12:30 p.m. Dinner 5:00-5:30 p.m. Visits Library cart Movie night Commissary Mail Monday Thursday, 1:00 2:00 p.m. and 6:00 10:00 p.m. Friday, afternoons and 6:00 10:00 p.m. Weekends 9:00 11:00 a.m.; 1:00 4:00 p.m.; 6:00 10:00 p.m. Saturday, 10:30 11:00 a.m. Saturday, 8:00 10:00 p.m. Turn in the slip by Monday 10:00 p.m.; slips given out Thursday after dinner 8:00 10:00 p.m.

27 Bay Area Community Resources 2. Program Operations 25 Razor GED testing Sign-outs in morning As needed, by Marin County Office of Education Parole hearings Wednesday mornings, by Marin County Parole Board Inspection Wednesday, 7:30 a.m. D. Program Rules and Policies Inmates will obtain a Certificate of Completion after two months of participation in the program. A Certificate of Graduation will be earned after three months of participation. There will be consequences for breaking the rules and regulations of the program as well as lack of therapeutic progress. These consequences may include a warning, a written assignment, lock down time, or a contract. If a staff member is unable to be present for a group or lecture due to a holiday schedule or staff meeting conflict, then we will provide directions for the group with a video and/or assignment. The group members are aware of the guidelines to follow when a staff person is not present. The facilitator-mentors have the responsibility and duty to end the group when they are finished. The facilitators will set up for group prior to the meeting time. Group members need to be in the group at the start time. The County Parole board often requires completion or graduation from the Jail Treatment Program before being released on County Parole. Our statistics show that inmates who attend the Jail Treatment Program tend to be more successful on County Parole. All participants are encouraged to take advantage of the other programs in the Jail, such as parenting classes, spirituality classes, Bible study, GED preparation and tests, F.A.T.H.E.R.S. or M.O.T.H.E.R.S. classes, general education and family reunification. (See Appendix A for a complete program list). Staff will conduct face-to-face sessions, intakes, probation and parole assessments, and orientation meetings with the inmate-facilitators during other daytime hours. Extracurricular activities such as inmate-led 12-step meetings and other program activities are encouraged.

28 26 2. Program Operations Bay Area Community Resources Process groups are strictly confidential. The 12-Step Book Study group is not the setting to process issues. Participation is required for all. Be on time. No micro-waving, noise, or phone calls (only attorneys or probation, as approved) during groups. The key word is respect. If an inmate is sick, he/she needs the counselor s authorization to skip a session. A counselor from Center Force will be available from 8:00 11:00 a.m. every Tuesday, to help inmates work on family/community reintegration and support. Be respectful to staff and to each other at all times. E. Staff Staff Positions The Jail Treatment Program has five full-time BACR staff the Program Coordinator, three A Pod Counselors, and one F Pod Counselor. The duties and qualifications are as follows. Coordinator Supervised by: BACR Director of AOD Programs Job Purpose: To manage the, including overseeing staff and providing direct services. Administrative Duties Be highly professional and expert serving as the primary liaison with the Sheriff s Department, the Probation Department, other components of the Marin Criminal Justice System. Represent the program and the agency to the general public in a highly professional manner. Act as the leader in recruiting, screening and hiring program staff. Provide a high quality program of professional development for staff, including a pre-service orientation and ongoing training. Provide or arrange for staff to participate in training opportunities which will continually increase their professional skills and knowledge.

29 Bay Area Community Resources 2. Program Operations 27 Provide individual and group supervision for staff, including monitoring all staff activities, conducting staff meetings to manage routine duties, problem solving, and coaching. Manage a program of case conferences among staff to maintain the highest levels of teamwork and collaboration in providing services to clients and funders. Manage all program activities for documenting services, including collecting required data and reporting to the Sheriff s Department, the Probation Department, and BACR. Manage periodic evaluations to collect data and report to stakeholders about program effectiveness. Participate in strategic planning for the program and the agency in order to ensure that the program has a secure, predictable and sustainable future, including seeking opportunities for program improvement and expansion. Specific Program Responsibilities Full-time position counseling inmates with substance-abuse and criminality problems. Manage a caseload of approximately 20 inmates. Maintain positive, professional relationships with Sheriff s Department staff and Probation Department staff. Assess the nature and extent of inmates alcohol/drug problems and make appropriate referrals. Submit written assessments and recommendations when required. Establish positive working relationships with clients. Provide individual, group and/or family counseling. Establish individual treatment plans with client collaboration, monitor participation and progress. Modify treatment plans, at a minimum of every 3 months. Provide case management services that include ongoing needs assessment, coordination of services, identification of barriers, appropriate referrals and follow-up. Help clients get into post-incarceration treatment programs. Provide in-service and educational training to clients, organizations and the community. Maintain positive, professional relationships with service providers. Coordinate services with other treatment facilities, public service agencies, and other service providers. Attend coordination meetings. Participate in substance abuse outreach activities and advocacy for treatment services. Maintain accurate and up-to-date client records. Complete all evaluation and record-keeping paperwork. Provide transportation to clients when part of program requirements. Participate in individual supervision, staff meetings, trainings, events, and conferences. Support the inmate volunteers to encourage them to be accountable and to support other inmates. Skills and Knowledge Skills: At least five years continuous experience working in substance abuse field. Ability to lead a multidisciplinary team, as well as establish rapport with the Sheriff's Department, Probation Department, community treatment providers and other people in the Marin criminal justice system. Education and/or certification commensurate with program position. Experience with substance abuse and criminal justice populations required.

30 28 2. Program Operations Bay Area Community Resources Knowledge: A dedicated staff person with demonstrated knowledge of substance abuse treatment models, assessment skills, and inmate populations. Ability to establish rapport with challenging population. Demonstrated sensitivity to diverse communities within Marin. Knowledge of substance abuse resources preferred. Ability to speak Spanish preferred. Personal Qualities: A commitment to and strong belief in the mission of BACR and the Jail Treatment program. Compliance with procedures and policies. Positive motivation and attitude toward work. Willingness for self-examination and continued learning. Ability to maintain goals and priorities in dealing with varying challenges. Ability to be flexible in working with people and organizations with different viewpoints. This position requires excellent communication and organizational skills. Additional Requirements: Five years of continuous sobriety if in recovery. Clean DMV record. Documentation of vehicle insurance. Ability to obtain jail clearance by: not having prior crimes that involve violence against police, arson, or sex offenses; not having any felony convictions or arrests with the past 5 years; passing a polygraph test; and agreeing to a credit check. The is a program of Bay Area Community Resources (BACR), a well-respected, established agency with excellent reputation throughout the Bay Area. See the BACR website at Case Manager/Counselor (Marin County Jail) Supervised by: Jail Treatment Program Coordinator Job Purpose: To provide assessment, counseling and case management services related to substance abuse and addiction and criminality. Specific Responsibilities Full-time position counseling inmates with substance-abuse and criminality problems. Manage a caseload of approximately 20 inmates. Maintain positive, professional relationships with Sheriff s Department staff and Probation Department staff. Assess the nature and extent of alcohol/drug problems and make appropriate referrals. Submit written assessments and recommendations when required. Establish positive working relationships with clients. Provide individual, group and/or family counseling. Establish individual treatment plans with client collaboration, monitor participation and progress. Modify treatment plans, at a minimum of every 3 months. Provide case management services that include ongoing needs assessment, coordination of services, identification of barriers, appropriate referrals and follow-up. Help clients get into post-incarceration treatment programs.

31 Bay Area Community Resources 2. Program Operations 29 Provide in-service and educational training to clients, organizations and the community. Maintain positive, professional relationships with service providers. Coordinate services with other treatment facilities, public service agencies, and other service providers. Attend coordination meetings. Participate in substance abuse outreach activities and advocacy for treatment services as directed by program coordinator. Maintain accurate and up-to-date client records. Complete all evaluation and record-keeping paperwork. Provide transportation to clients when part of program requirements. Participate in required meetings including individual supervision, staff meetings, trainings, events, and conferences. Support the inmate volunteers to encourage them to be accountable and to support other inmates. Administrative Duties Be highly professional in relating to the Sheriff s Department, the Probation Department, other components of the Marin Criminal Justice System. Collaborate as required in recruiting, screening and hiring program staff. Participate in a high quality program of professional development, including a pre-service orientation and ongoing training. Participate in external training opportunities in order to continually increase professional skills and knowledge. Participate actively in individual and group supervision and staff meetings. Participate in case conferences with other staff to maintain the highest levels of teamwork and collaboration in providing services to clients and funders. Adequately document services as required by the Sheriff s Department, the Probation Department, and BACR. Participate as required in periodic evaluations of program effectiveness. Report as required on program budget expenses. Skills and Knowledge Skills: A dedicated staff person who is open to training and can relate well to this population. At least two years continuous experience working in substance abuse field. Ability to establish rapport with challenging population. Ability to work as part of a multidisciplinary team, as well as with the Sheriff's Department, Probation Department, community treatment providers and other people in the Marin criminal justice system. Education and/or certificate commensurate with program position. Experience with substance abuse and criminal justice populations preferred. Knowledge: Demonstrated knowledge of substance abuse treatment models and assessment skills. Demonstrated sensitivity to diverse communities within Marin. Knowledge of substance abuse resources preferred. Ability to speak Spanish preferred.